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Breast Revision Implant Exchange with Lift

Before & After Gallery | Patient 5

Patient 05 - Never Too Old To Get the Breasts You Love


Patient Details

Case 5 – Breast Revision with Exchange of Implants, Super Breast Lift

Reason for consulting with OC Breast Surgery specialist
This 71 year old patient from Orange County, California was on a mission to finally get the breasts she’d wanted for years. She had two previous breast surgeries with surgeons not affiliated with OC Breast Surgery center, one in 1985 and one in 2000. She had really wanted a lift at her last breast revision surgery, but the surgeon decided to increase the size of her implants instead. She was accepting of the results but not as happy with them as she had hoped. She always felt her breasts were too droopy.

She came to OC Breast Surgery because a mammogram showed that she had a right ruptured implant. When she met with the surgeon he told her about the Super Breast Lift triple dermal tightening and lifting techniques and that she would not need any drains post-operatively. She knew she was with the right surgeon and could not wait to get on the surgery schedule.

Surgical Plan – Breast Revision with Exchange of Implants, Super Breast Lift

Pre-Op Sizing
She really liked the volume of her current implants and wanted to stay as close to the size she was as possible. She agreed to a larger implant if needed but did not want to go any smaller. She provided photos of naked breasts in neutral positions from a plastic surgery website to show her ideal breast size along with breasts she thought were too big and too small.

Pre-Op Labs
Blood Test
All breast surgery patients are required to have a Mammogram or Ultrasound within 1 year of the surgery date. All patients must have a CBC and Basic Metabolic blood test to be cleared for surgery. Patients over the age of 50 must have had an EKG within 1 year of the surgery date.

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It’s important to note that at 71 this patient was in great health and all of her lab work confirmed this.

Day of Surgery
Breast Revision with Exchange of Implants, Super Breast Lift is done under General Anesthesia in our outpatient surgery center. Surgical time was 4 hrs 30 min.

Skin marks were placed with the patient in the sitting and standing position prior to surgery. In surgery, the breasts and abdomen were prepped and draped in the sterile fashion. The ruptured implant in the right breast was found and was gradually and meticulously removed. The pocked was wiped clean and irrigated with Triple Antibiotic solution. Left side was approached in the same fashion, and an intact implant was found. Both of the implants read “450 cc,” but there was no brand name associated with the label.
Superomedial capsulotomy was performed on both sides, and inferior capsulectomy was performed on both sides. Various sizers were tried with the patient in the sitting position. It was finally elected to use a 485 cc implant. The 485 cc sizers were left in place until the Super Breast Lift was completed. Then the sizers were removed and replaced with Natrelle Inspira 485 cc SCM implants on both sides. Her right lateral chest was liposuction and 85 mL of fat and fluid removed. The patient was placed in a surgical bra and skin tape placed over the incisions.

Post Op
The next morning at her first pre-op appointment, the patient was instructed to follow the Breast Implant Moving Exercises several times a day for the first two to three weeks until the implants settled into position. Her photos were taken 6 weeks post op. Scars continue to improve up to one year after surgery.